NPIMap

Laboratorio Clinico Irizarry Guasch Inc

Organization Active NPI Clinical Medical Laboratory · Lajas, PR

NPI 1730285255 · NPPES record last updated Feb 4, 2008

Key facts

NPI
1730285255
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
546 (PR)
Legal business name
LABORATORIO CLINICO IRIZARRY GUASCH INC
Practice address
65 Infanteria Esquina Concordia
13
Lajas, PR 00667
Phone
(787) 899-2309
Fax
(787) 899-0025
NPI assigned
Sep 15, 2006
Organization subpart
Yes
Parent organization (as reported)
LABORATORIO CLINICO IRIZARRY GUASCH INC

Authorized official

Name
Mr. Jose Rafael Sanchez
Title
Presidente
Phone
(787) 899-7222

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

National Provider Directory

Tax ID family
Laboratorio Irizarry Guasch (25 organizations share this tax ID)
Part of
Laboratorio Irizarry Guasch

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 546 PR Yes

Addresses

Primary practice location

65 Infanteria Esquina Concordia
13
Lajas, PR 00667

Mailing address

PO Box 125
Lajas, PR 00667
Phone (787) 899-7222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2008.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1730285255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-7222",
            "fax_number": "787-899-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERIA ESQUINA CONCORDIA",
            "address_2": "13",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-2309",
            "fax_number": "787-899-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-899-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

All providers in Lajas, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.